HomeMy WebLinkAboutP_Pre-Inspect_106327947_V1_170811_Job #:
Date:Address:
Jurisdiction:City / Zip:
Right of Way Permit?Customer:
Est. Start Date:PM / Insp:
Est. Duration:
Existing
New Const
&
&
&
Fuel Line Length:
Mtr Loc:Fuel Line Diameter:
PLAT MAP:204 084
'N S of CL
OR/08
'E W of CL
'E W of CL
ASPHALT
106327947
7/26/17
Renton
1 day
Kevin Haibeck
2825 NE 21ST ST
Renton / 98056
Building
206-604-5448
206-850-0681RICHARD BROWN
'N S of CL
Harrington Pl NE 3'X5'10' 'S of CL
Install 43’ of 1-1/8” PE complete service (6' scat stub; 37' scat extension) and set A250
meter … 2600 EFV… Install 2 T/L wires and 20# anode. Bring up wires in T/L box.
NE 21st St (roadway) 'E of CL151'
PRE-INSPECTION REPORT
WORK DESCRIPTION:
CUST PHONE NUMBER
Work Location
PHONE NUMBER
Size of Cut Surface Type
SPEED LIMIT
MPH
Service Information
Diameter Meter EFV
N
FLAGGERS #
OFFICERS #
TROLLY LINES
TRAFFIC SIGNAL
BUS STOP #
ARTERIAL
METER HOODS #
NO PARKS #
Commercial
Residential
Multi-Family
New Constr.
Stub
Extension
Cut & Cap
Altered Commercial
Altered Residential
Replacement Service
Main Maintenance
Service Maintenance
Valve Maintenance
Leak Repair
CP Work
Pothole
Extension
Compete Serv
5/8"
11/8"
11/4"
2"
250
425
630
1000
1800
2600
10,000
Bollards 2.5" #
Bollards 4" #
FUEL LINE PERMIT NEEDED
Template Bar
YES NO HARRINGTON PL NE NE 21ST ST
2825 NE 21ST ST
WORK
AREA
CL CL